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BPOL2017-01064.4 , VOICE (760) 777-7125 78-495 CALLE TAMPICO LA,QLIINTA, CALIFORNIA 92253 FAX (760) 777-7011 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 7/25/2017 Application Number: BPOL2017-0106 rJEN Property Address: 54850 CAVALCADE CT R HOMES OF CALIFORNIA INC APN: 767790038 �V�qc 2017ERPR15E Application Description: LENNAR HOMES / POOL, SPA, AND FIR TAT BACK A D J OREEN MUELLER Property Zoning: AL VIEJO, CA 92656 Application Valuation: $50,000:00 CITY OF LA QUINTA DESIGN AND DEVELOPMENT DEPARTMENT Applicant: ontractor: TESERRA TESERRA P O BOX 1280 P 0 BOX 1280 COACHELLA, CA 92236 COACHELLA, CA 92236 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000} of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: C-8. CSO, C29, C53, C27. D12 —�--License No.: 656128 i QS Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: ' (_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). • (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_) I am exempt under Sec. . B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: (760)389-9222 Llc. No.: 656128 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: STARSTONE NATIONAL INSURANCE COMPANY Policy Number: T10170317 I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply wit those rovisions. ►�� Date:�� 2S Applicant: 1 �Qy✓l� Gt �� °�� WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , the owner, and the applicant, each agrees to, and. shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives oft ' city to enter upon the above -men 'oned p operty for inspection purposes. oa� 7 Signat� re (rlicant or t): Application Number: BPOL2017-0106 Property Address: 54850 CAVALCADE CT APN: 767790038 Application Description: LENNAR HOMES / POOL, SPA, AND FIRE PIT AT BACK YARD Property Zoning: Application Valuation: $50,000.00 Date: 7/25/2017 Owner: LENNAR HOMES OF CALIFORNIA INC 25 ENTERPRISE ATTN GOREEN MUELLER ALISO VIEJO, CA 92656 Applicant: Contractor: TESERRA TESERRA P 0 BOX'1280 P 0 BOX 1280 COACHELLA, CA 92236 COACHELLA, CA 92236 (760)389-9222 Llc. No.: 656128 --------------------------------------------------------------------------------------------- Detail: POOL,SPA, AND FIRE PIT AT REAR YARD [DOUGLAS R. FERRELL ENGINEERING] THIS PERMIT DOES NOT INCLUDE EQUIPMENT ENCLOSURE. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2016 CALIFORNIA BUILDING CODE. FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT BSAS.SB1473 FEE 101-0000-20306 0 $2.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 1-4 OUTLETS PC 101-0000-42600 0 $25.33 Total Paid for PLUMBING FEES: $38.00 DESCRIPTION ACCOUNT CITY AMOUNT SWIMMING POOL/SPA 101-0000-42404 0 $190.00 DESCRIPTION ACCOUNT CITY AMOUNT SWIMMING POOL/SPA PC .101-0000-42600 0 $103.36 Total Paid for POOL / SPA: $293.36 DESCRIPTION ACCOUNT CITY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 Bin # Qty of La Q u'in to Building &r Safety Division 78-495 Calle Tampico La Quinta, CA 92253.- (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: ��0 ✓� C .�C�leOwner's Name: A. P. Number: Address: Legal Description: City, ST, Zip: Contractor: f Tele ho . ne- P .......................... Project Description: Poo t Address: a'�� Aar,- City, ST, Zip: 0.l . TdleP h one: Aim State Lic. # : City Lic. #; Arch., Engr., Designer: Address: City, .ST, Zip: Telephone: Construction n TY e: Occupancy: P cy: . State ic. �ProJ• C(circle ect type one eAdd'n Alter r R air Demo Name of Contact Person: Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: 7ap " Estimated Value of Project: 150 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Reed TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections- Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Cales. Plans picked up Construction ". Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Review,: ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A.-Approval Plans resubmitted Grading IN HOUSE: 3' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees